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评估风湿病学家对生物类似药的了解程度。

Evaluation of rheumatologists' knowledge of biosimilars.

作者信息

Lima Thayane Furtado Rolim, Cordeiro Lia Poti Gomes, Gomes Kirla Wagner Poti, Rodrigues Carlos Ewerton Maia

机构信息

Resident in Rheumatology, General Hospital of Fortaleza (HGF), Fortaleza, Brazil.

Resident in Internal Medicine, Waldemar Alcântara General Hospital (HGWA), Fortaleza, Brazil.

出版信息

Adv Rheumatol. 2025 Jul 17;65(1):32. doi: 10.1186/s42358-025-00465-4.

DOI:10.1186/s42358-025-00465-4
PMID:40676650
Abstract

INTRODUCTION

Biosimilars reduce the cost of biologic therapy without compromising safety and effectiveness. In this study we evaluated Brazilian rheumatologists' knowledge and perceptions of biosimilars.

METHODS

Cross-sectional and descriptive study based on a questionnaire containing 17 items on familiarity, knowledge and perceptions of biosimilars.

RESULTS

Answers were received from 135 rheumatologists, of whom 97.8% were familiar with biosimilars and 92.5% had at some time prescribed them, but only 47.7% felt comfortable prescribing them to stable patients and 62.2% strongly disagreed with automatic substitution. In addition, 51.9% preferred naive patients when starting treatment with biosimilars.

CONCLUSION

Despite the growing acceptance of biosimilars, many physicians remain reluctant. Evidence-based continuing education is essential to clarify these issues.

摘要

引言

生物类似药在不影响安全性和有效性的前提下降低了生物治疗的成本。在本研究中,我们评估了巴西风湿病学家对生物类似药的了解和看法。

方法

基于一份包含17项关于生物类似药的熟悉程度、知识和看法的问卷进行横断面描述性研究。

结果

共收到135名风湿病学家的回复,其中97.8%熟悉生物类似药,92.5%曾在某些时候开具过此类药物,但只有47.7%的人对给稳定患者开具生物类似药感到放心,62.2%的人强烈反对自动替换。此外,51.9%的人在开始使用生物类似药治疗时更倾向于初治患者。

结论

尽管生物类似药的接受度不断提高,但许多医生仍然持谨慎态度。基于证据的继续教育对于阐明这些问题至关重要。

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本文引用的文献

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Access to biologics and Janus kinase inhibitors for treatment of rheumatic diseases in the biosimilars era in Poland: a nation-level study.生物类似药时代波兰治疗风湿性疾病的生物制剂和 Janus 激酶抑制剂的可及性:一项国家级研究。
Pol Arch Intern Med. 2024 Apr 26;134(4). doi: 10.20452/pamw.16655. Epub 2024 Jan 2.
2
Comparison of treatment retention of originator vs biosimilar products in clinical rheumatology practice in Sweden.比较瑞典临床风湿病学实践中原创药与生物类似药的治疗保留率。
Rheumatology (Oxford). 2022 Aug 30;61(9):3596-3605. doi: 10.1093/rheumatology/keab933.
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Biosimilar-to-Biosimilar Switching: What is the Rationale and Current Experience?
生物类似药与生物类似药的转换:其原理和当前经验是什么?
Drugs. 2021 Nov;81(16):1859-1879. doi: 10.1007/s40265-021-01610-1. Epub 2021 Oct 27.
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Biosimilar Uptake: The Importance of Healthcare Provider Education.生物类似药的采用:医疗保健提供者教育的重要性。
Pharmaceut Med. 2021 Jul;35(4):215-224. doi: 10.1007/s40290-021-00396-7. Epub 2021 Aug 22.
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Evaluation of economic burden with biologic treatments in Crohn's disease patients: A mirror image study using an insurance database in Japan.评估生物治疗对克罗恩病患者的经济负担:使用日本保险数据库的镜像研究。
PLoS One. 2021 Jul 19;16(7):e0254807. doi: 10.1371/journal.pone.0254807. eCollection 2021.
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Budget Impact Analysis of Biosimilar Products in Spain in the Period 2009-2019.2009 - 2019年西班牙生物类似药产品的预算影响分析
Pharmaceuticals (Basel). 2021 Apr 9;14(4):348. doi: 10.3390/ph14040348.
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US rheumatologists' beliefs and knowledge about biosimilars: a survey.美国风湿病学家对生物类似药的信念和认知:一项调查。
Rheumatology (Oxford). 2021 Feb 1;60(2):896-901. doi: 10.1093/rheumatology/keaa502.
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The Challenges of Switching Therapies in an Evolving Multiple Biosimilars Landscape: A Narrative Review of Current Evidence.在不断发展的多种生物类似药领域中切换治疗方案的挑战:当前证据的叙述性综述。
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Biosimilars in rheumatology: recommendations for regulation and use in Middle Eastern countries.风湿学中的生物类似药:在中东国家的监管和使用建议。
Clin Rheumatol. 2018 May;37(5):1143-1152. doi: 10.1007/s10067-018-3982-9. Epub 2018 Feb 6.
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BioDrugs. 2018 Feb;32(1):27-52. doi: 10.1007/s40259-017-0256-z.